Inspection on 07/12/06 for St Martin`s House

This inspection was carried out on 7th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

St Martin`s House 28/02/06

St Martin`s House 17/10/05

St Martin`s House 03/02/05

St Martin`s House 06/09/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 St Martin`s House 3 Irvine Road Littlehampton West Sussex BN17 5LA Lead Inspector Ms J Hartley Unannounced Inspection 7th December 2006 10:45 St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Martin`s House Address 3 Irvine Road Littlehampton West Sussex BN17 5LA 01903 716306 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Liam Connell Mrs Eileen Connell Mr Liam Connell Mrs Eileen Connell Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2006 Brief Description of the Service: St Martins House is a Care Home for Younger Adults providing accommodation for up to three people in the category Mental Disorder. One person is accommodated at present. It is privately owned by Mr. L. and Mrs. Eileen Connell. The home is located in Littlehampton close to the sea, shops and other local amenities. The home was opened in 1993 and is a large semi detached property with accommodation for service users on the first and second floors. The home has three single bedrooms each with its own sitting room. There is one bathroom and one shower room upstairs and another bathroom downstairs. There is a kitchen for residents’ use on the first floor. The furniture is individual and domestic in character. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit of this unannounced inspection was carried out over a period of two hours. The inspector examined information held on the service file since the last inspection in February 2006, and read the previous two inspection reports, the Service User Guide and the Statement of Purpose. Evidence was also gathered from the pre-inspection questionnaire completed by Mrs Connell and the results of a survey, completed prior to the inspection by the resident. During the inspection the inspector spoke to the resident and Mr and Mrs Connell. The inspector undertook a tour of the premises and looked at the care plan of the resident accommodated at the home. Various record books, policies and procedures were also examined. The current fees are £350 per week. What the service does well: What has improved since the last inspection? What they could do better: Gas and electrical safety checks are overdue. These need to be arranged and the certificates sent to the Commission. Records need to be kept of the weekly fire alarm tests. It is recommended that risk assessments be drawn up to minimise the risk to the resident of certain activities. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have the information they need to make an informed choice on where to live. The needs and aspirations of residents are assessed prior to admission. EVIDENCE: The Statement of Purpose and Service User Guide were seen prior to the site visit. Both documents are basic but contain the required information. The resident said that he has seen both documents and understands them. He also said that he received enough information about the home prior to moving in. An assessment by social services was received by the home prior to the current resident being admitted. The current care plan for the resident was seen and found to be up to date. Mrs Connell said that if they have any other admissions the prospective resident would be welcome to visit the home prior to admission. St. Martins’ does not accept emergency admissions. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An individual plan of care is in place for the current resident. The resident is encouraged and supported to make decisions about his own life and is supported to take risks. It is recommended that risk assessments be drawn up to minimise the risk to the resident of certain activities. EVIDENCE: The care plan for the current resident was seen to be basic but included enough information regarding the needs of the resident. Reviews are recorded on the care plan and in a record book. The resident said that he took part in his most recent review. There is no keyworking system in place, as Mr and Mrs Connell do not employ any staff and are in constant daily contact with the resident. The resident said that he is able to make choices in his life, including when and where he goes out, what he eats and when he gets up and goes to bed. He St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 10 said that he receives a lot of support from Mr and Mrs Connell to make decisions and to live his life as independently as possible. It is recommended that risk assessments be drawn up for the resident regarding use of the cooker in the resident’s kitchen and being out unaccompanied. Mrs Connell said that the resident tried attending a local club but said he didn’t like it and chose not to go anymore. The resident confirmed this. The resident is independent in many areas of daily living including preparing his own breakfast and lunch. He said he is supported and encouraged to keep his own rooms clean and tidy. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The current resident is supported and encouraged to take part in appropriate activities and to be part of the local community. Meals are varied and healthy. The resident is supported in having appropriate relationships. The resident’s rights are respected and he is encouraged to be as independent as possible. EVIDENCE: The resident said that Mr and Mrs Connell help him to take part in activities including going out for a meal every Sunday, shopping and attending concerts. He said that he has recently been to Salisbury and to a Status Quo concert. He said he is very happy with the things he is able to do. The resident is able to go to the local shops independently. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 12 The resident said that he meets up with his friends in the community or they visit him at the home. He said that he has telephone contact with his family and sometimes visits them too. The resident is supported in being independent. The resident said that he keeps his own rooms clean and tidy with help from Mrs Connell. He said he likes his rooms but doesn’t like changes being made to them. He said that he also helps out with gardening. The resident’s privacy and dignity is respected. He has a key to the house and is able to lock his bedroom door if he wishes. He said that he opens his own post. Mr and Mrs Connell keep a diary of activities and of meals eaten. This showed that the resident has a varied diet and is supported in being part of the local community. The resident said he prepares his own breakfast and lunch but the main meal of the day he eats with Mr and Mrs Connell. He said he enjoys the meals provided. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident receives the support with personal care that he needs. Physical and emotional needs are met through the home and community health services. At present there isn’t anyone in the home taking medication. EVIDENCE: The resident does not need any assistance with personal care, but Mrs Connell said that they support him in this area by prompting when needed. The resident said that he goes to bed and gets up at times he chooses. He prepares his own breakfast and lunch so is able to choose what times he eats these meals. The resident is able to make his own health appointments and is supported by Mr and Mrs Connell in getting the health services he requires. Medical appointments are recorded in a record book that was seen during the visit to the home. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 14 The home has a thorough medication policy in place, (including homely medicines), that was seen prior to the inspection. The current resident does not take any prescribed medication. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident feels that his views are listened to and acted upon. The home has a clear adult protection policy in place, which protects the resident as far as possible from abuse. EVIDENCE: The home has a clear complaints procedure in place that was seen prior to the visit. The resident said that Mr and Mrs Connell listen to and act upon what he says. The home holds regular resident meetings. Issues arising from these are recorded. The records were seen during the visit. The home keeps a record of any complaints that have been made. This was seen during the visit. No complaints have been received since the last inspection. The resident said he would speak to Mr and Mrs Connell or his social worker if he were unhappy about anything. The home’s policies and procedure regarding adult protection were seen prior to the visit. They are basic but easy to understand. Mrs Connell has had Adult Protection training as part of her NVQ4 and says she has cascaded this to Mr Connell. The home also has a whistle blowing policy in place that was seen during the visit. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. St Martin’s House is homely and comfortable. The resident said that it is usually clean. EVIDENCE: St Martin’s House is located in Littlehampton close to the sea, shops and other local amenities. It is a large semi detached property with accommodation for residents on the first and second floors. The home has three single bedrooms each with its own sitting room. There is one bathroom and one shower room upstairs and another bathroom downstairs. The resident has his own kitchen to prepare his breakfast, lunch and drinks in. Some of the resident’s furniture is starting to show wear and tear but the resident said that he doesn’t like things to change and is happy with the furniture he has. The resident said that he has a new fridge, microwave and kettle in his kitchen. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 17 On the day of the visit the home was clean, tidy and free from offensive odours. In a response to the questionnaire the resident said that the home is usually clean. On the day of the visit the resident said that he cleans his room but sometimes has to be prompted and helped by Mr and Mrs Connell. The home has clear policies and procedures in place regarding the control of infection that were seen during the visit. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. St Martin’s House is staffed by Mr and Mrs Connell the registered providers. No care staff are employed at the home. Mr. and Mrs. Connell both have CRB checks and are appropriately trained to meet the needs of the resident. Mr and Mrs Connell run the home by themselves with no other support staff, therefore Standard Thirty-Four is not applicable to this home. EVIDENCE: Mr and Mrs Connell both have CRB checks that were seen during the visit. Evidence was seen that Mrs. Connell is enrolled on a Registered Managers’ Award course, which she was planning to start in November 2005 but has been postponed to January 2006. She has an NVQ 4 in care. Certificates were seen to show that Mrs. Connell attended Manual Handling and First Aid training in July 2006. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 19 Mr. and Mrs. Connell were witnessed interacting with the resident throughout the visit. They were both knowledgeable about his needs and treated him with kindness, understanding and respect. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. St Martin’s House is well run by Mr and Mrs Connell. The resident feels that his views are listened to and taken into account. The home does not have a current gas service certificate or electrical appliance test certificate. A gas service and electrical equipment test need to be arranged and copies of the certificates sent to the Commission. Records need to be kept of the weekly fire alarm tests. EVIDENCE: Mr and Mrs Connell have been running St Martin’ House since 1993. Mrs Connell has completed the NVQ4 in Care, and will be starting the Registered Managers Award in January 2007. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 21 The resident feels that Mr and Mrs Connell take his views seriously. The home seeks constant informal feedback from the resident. House meetings are held monthly and are used as a forum for seeking the resident’s views. Records are now being kept of these meetings. There is no formal quality assurance system in place. Mrs Connell and the resident said that fire alarm tests are carried out regularly, however these tests are not recorded. A record should be kept of when these tests take place. The fire officer visited three months ago and fire extinguishers were last checked in February 2006. The emergency lighting was updated in 2005 and the central heating boiler was replaced in the same year. However the home does not have a current gas service certificate or electrical appliance test certificate. A gas service and electrical equipment test need to be arranged and copies of the certificates sent to the Commission. The accident record book was seen during the visit. No accidents have been recorded since the last inspection. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 N/A 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA42 Regulation 13 & 23 Requirement The registered provider shall arrange for the servicing of gas boilers and central heating systems and the testing of electrical equipment. Copies of certificates are to be sent to the Commission. The registered provider shall record the weekly fire alarm tests. Timescale for action 18/01/07 2. YA42 23 18/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA9 Good Practice Recommendations It is recommended that risk assessments be drawn up regarding the resident’s use of the gas cooker, being unaccompanied whilst in the community and any other circumstances that may pose a risk to the resident. St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Martin`s House DS0000014737.V323034.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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